|
PEDRO E MONTANEZ MD PA 401K PLAN
|
2010
|
651109381
|
2011-06-15
|
PEDRO E MONTANEZ MD PA
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2003-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8634021115
|
| Plan sponsor’s
address |
119 US 27 N, SEBRING, FL, 338702100
|
Plan administrator’s name and address
| Administrator’s EIN |
651109381 |
| Plan administrator’s name |
PEDRO E MONTANEZ MD PA |
| Plan administrator’s
address |
119 US 27 N, SEBRING, FL, 338702100 |
| Administrator’s telephone number |
8634021115 |
Signature of
| Role |
Plan administrator |
| Date |
2011-06-15 |
| Name of individual signing |
PEDRO MONTANEZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-06-15 |
| Name of individual signing |
PEDRO MONTANEZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PEDRO E MONTANEZ MD PA 401(K) PLAN
|
2009
|
651109381
|
2010-06-24
|
PEDRO E MONTANEZ MD PA
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2003-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8634021115
|
| Plan sponsor’s
address |
119 US 27 N, SEBRING, FL, 338702100
|
Plan administrator’s name and address
| Administrator’s EIN |
651109381 |
| Plan administrator’s name |
PEDRO E MONTANEZ MD PA |
| Plan administrator’s
address |
119 US 27 N, SEBRING, FL, 338702100 |
| Administrator’s telephone number |
8634021115 |
Signature of
| Role |
Plan administrator |
| Date |
2010-06-24 |
| Name of individual signing |
PEDRO MONTANEZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-06-24 |
| Name of individual signing |
PEDRO MONTANEZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PEDRO E MONTANEZ MD PA 401(K) PLAN
|
2009
|
651109381
|
2010-05-27
|
PEDRO E MONTANEZ MD PA
|
5
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2003-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8634021115
|
| Plan sponsor’s
address |
119 US 27 N, SEBRING, FL, 338702100
|
Plan administrator’s name and address
| Administrator’s EIN |
651109381 |
| Plan administrator’s name |
PEDRO E MONTANEZ MD PA |
| Plan administrator’s
address |
119 US 27 N, SEBRING, FL, 338702100 |
| Administrator’s telephone number |
8634021115 |
Signature of
| Role |
Plan administrator |
| Date |
2010-05-27 |
| Name of individual signing |
PEDRO MONTANEZ |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-05-27 |
| Name of individual signing |
PEDRO MONTANEZ |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
|
PEDRO E MONTANEZ MD PA 401(K) PLAN
|
2009
|
651109381
|
2010-05-27
|
PEDRO E MONTANEZ MD PA
|
5
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2003-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8634021115
|
| Plan sponsor’s
address |
119 US 27 N, SEBRING, FL, 338702100
|
Plan administrator’s name and address
| Administrator’s EIN |
651109381 |
| Plan administrator’s name |
PEDRO E MONTANEZ MD PA |
| Plan administrator’s
address |
119 US 27 N, SEBRING, FL, 338702100 |
| Administrator’s telephone number |
8634021115 |
Signature of
| Role |
Plan administrator |
| Date |
2010-05-27 |
| Name of individual signing |
PEDRO MONTANEZ |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-05-27 |
| Name of individual signing |
PEDRO MONTANEZ |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
